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Hauptverfasser: Liu, Jiewen, Miano, Todd A., Griffiths, Stephen, Shashaty, Michael G. S., Yang, Wei
Format: Preprint
Veröffentlicht: 2024
Schlagworte:
Online-Zugang:https://arxiv.org/abs/2409.04933
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author Liu, Jiewen
Miano, Todd A.
Griffiths, Stephen
Shashaty, Michael G. S.
Yang, Wei
author_facet Liu, Jiewen
Miano, Todd A.
Griffiths, Stephen
Shashaty, Michael G. S.
Yang, Wei
contents Marginal structural models (MSMs) are widely used in observational studies to estimate the causal effect of time-varying treatments. Despite its popularity, limited attention has been paid to summarizing the treatment history in the outcome model, which proves particularly challenging when individuals' treatment trajectories exhibit complex patterns over time. Commonly used metrics such as the average treatment level fail to adequately capture the treatment history, hindering causal interpretation. For scenarios where treatment histories exhibit distinct temporal patterns, we develop a new approach to parameterize the outcome model. We apply latent growth curve analysis to identify representative treatment trajectories from the observed data and use the posterior probability of latent class membership to summarize the different treatment trajectories. We demonstrate its use in parameterizing the MSMs, which facilitates the interpretations of the results. We apply the method to analyze data from an existing cohort of lung transplant recipients to estimate the effect of Tacrolimus concentrations on the risk of incident chronic kidney disease.
format Preprint
id arxiv_https___arxiv_org_abs_2409_04933
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle Marginal Structural Modeling of Representative Treatment Trajectories
Liu, Jiewen
Miano, Todd A.
Griffiths, Stephen
Shashaty, Michael G. S.
Yang, Wei
Methodology
Marginal structural models (MSMs) are widely used in observational studies to estimate the causal effect of time-varying treatments. Despite its popularity, limited attention has been paid to summarizing the treatment history in the outcome model, which proves particularly challenging when individuals' treatment trajectories exhibit complex patterns over time. Commonly used metrics such as the average treatment level fail to adequately capture the treatment history, hindering causal interpretation. For scenarios where treatment histories exhibit distinct temporal patterns, we develop a new approach to parameterize the outcome model. We apply latent growth curve analysis to identify representative treatment trajectories from the observed data and use the posterior probability of latent class membership to summarize the different treatment trajectories. We demonstrate its use in parameterizing the MSMs, which facilitates the interpretations of the results. We apply the method to analyze data from an existing cohort of lung transplant recipients to estimate the effect of Tacrolimus concentrations on the risk of incident chronic kidney disease.
title Marginal Structural Modeling of Representative Treatment Trajectories
topic Methodology
url https://arxiv.org/abs/2409.04933